Individual provider Active NPI

Katherine Anne Shaffer, MD

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1861141483
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD489185 Issued in PA
Practice address
800 Washington Ave
Philadelphia, PA 19147-4717
Phone
(888) 296-4742
NPI assigned
Mar 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD489185 PA Primary

Addresses

Primary practice location

800 Washington Ave
Philadelphia, PA 19147-4717

Mailing address

800 Washington Ave
Philadelphia, PA 19147-4717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250827001171 PA Practitioner - Pediatric Medicine 8527455708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Harvard Medical School, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1401 S 31St St
2ND FL Suite 400
Philadelphia, PA 19146-3506

2211 Congress St
Portland, ME 04102-1941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD489185PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Philadelphia Health Action, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Greater Philadelphia Health Action Inc. Current Accepting new patients
Greater Philadelphia Health Action Inc. Pediatrics CurrentSince Aug 1, 2025 Accepting new patients

Locations

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

1401 S 31st St
#2
Philadelphia, PA 19146

800 Washington Ave
Philadelphia, PA 19147
Phone (215) 339-5100

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

Interoperability endpoints

  • Direct secure messaging: katherine.shaffer.p1@direct.gpha.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1861141483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474717",
            "telephone_number": "888-296-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD489185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.